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JLC : Journal of Liver Cancer

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Review Articles
New Techniques of Ultrasound-guided Radiofrequency Ablation for Hepatocellular Carcinoma
Min Woo Lee
J Liver Cancer. 2014;14(2):89-96.   Published online September 30, 2014
DOI: https://doi.org/10.17998/jlc.14.2.89
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AbstractAbstract PDF
In Korea, radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC) is most widely used under ultrasonography (US) guidance. With the technical development, small HCCs in challenging locations can be ablated effectively. Both fusion imaging and contrast-enhanced US is useful for identifying small inconspicuous HCCs on conventional US, thereby enable us to conduct successful RFA. Artificial ascites can enhance ultrasonic window and is helpful in avoiding thermal injury to the surrounding organs. Laparoscopy is also useful for guidance of RFA for subcapsular HCCs which are difficult to approach percutaneously. (J Liver Cancer 2014;14:89-96)
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Technical Advances in Radiofrequency Ablation of Hepatocellular Carcinoma
Dongil Choi, Hyunchul Rhim, Min Woo Lee
Journal of the Korean Liver Cancer Study Group. 2012;12(1):14-15.   Published online February 28, 2012
  • 1,398 Views
  • 5 Downloads
AbstractAbstract PDF
Lots of recent technical advances in radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC) have introduced. First, contrast-enhanced ultrasound can help to detect the index tumors, residual tumor, and local recurrence. After contrast-enhanced ultrasound for subtle small tumors, we can perform RFA with high confidence. The use of artificial ascites in RFA is a simple and useful technique to minimize collateral thermal injury and to improve the sonic window. Fusion imaging between US and CT or MR during RFA is useful since US can provide real-time imaging and CT or MR provides high quality images with good contrast and spatial resolution. RFA can be performed with fluoroscopy guidance to lipiodol retention tumors.
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